Posts for: April, 2014

By American College of Foot and Ankle Surgeons
April 29, 2014
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Arthritic hips and knees are replaced all the time, but did you know that arthrtic ankles can also be replaced? In fact, ankle replacements in the US more than doubled last year, thanks in part to technological advances in Ankle Implants (prostheses).

Total Ankle Replacement Surgery, or ankle arthroplasty, involves replacing the damaged joint with an artificial joint. The procedure greatly improves function for people who cannot perform everyday activities without experiencing severe pain. The most common causes of the pain are rhemautoid arthritis, osteoarthritis, and previous injuries.

In the past, the gold standard for treating these problematic patients was a fusion, or arthodesis, in which the joint is removed and the bones are fused. This procedure reduced pain, but also rendered the ankle immobile.

What can you expect from a total ankle replacement? Our patients enjoy vastly improved function of their ankle, with pain-free weight bearing and range of motion.

Of course, not every patient is a candidate for an ankle replacement. We would not recommend for patients with poor circulation, loss of sensation, or significant deformity related to birth defect or previous tramatic events.

For those who do meet the criteria for consideration, Ankle Replacement offers tremendous advantages over previous treatment for severe ankle pain related to arthritic changes.



By American College of Foot and Ankle Surgeons
April 09, 2014
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Parents keep a watchful eye on their children as they grow and develop, making note of any sign of a potential problem. One issue that we as foot and ankle surgeons like to address early on is pediatric flatfoot, a condition that, if left untreated, can result in permanent deformity in adulthood. Flatfoot deformity can make mobility and exercise painful, increasing the risk of reduced cardiovascular health and obesity. Fortunately, there are easy-to-spot signs that your child may have flatfoot.

Here's what to look for:

  • Pain, tenderness or cramping in the foot, leg or knee
  • Outward tilting of the heel
  • Awkwardness or clumsiness in walking
  • Difficulty with shoes
  • Inability to keep up with playmates
  • Tiring easily from play
  • Voluntary withdrawal from physical activities

If your child is experiencing any of these issues or you have other concerns with your child's feet, make an appointment with our office for a thorough exam. Pediatric flatfoot can usually be treated with stretching exercises, a soft brace, physical therapy, shoe modifications, anti-inflammatory medications like ibuprofen to reduce pain and inflammation, or an orthotic device that fits inside the shoe and supports the structure of the foot. In some cases, surgery is the best alternative.